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==Surgery==
==Surgery==
* The predominant therapy for meningioma is surgical resection. Adjunctive [[radiation therapy]] may be required among certain patients.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref>
* The predominant therapy for meningioma is surgical resection. Adjunctive [[radiation therapy]] may be required among certain patients.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref>
* Transarterial embolization has become a standard procedure in the preoperative management.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref>
* Transarterial [[embolization]] has become a standard procedure in the preoperative management.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref>
* Surgical resection procedures of meningioma include:<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref><ref name="R">Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25th 2015</ref><ref name="N">Simpson Grading System. Neurosurgic.com(2015) http://www.neurosurgic.com/index.php?option=com_content&view=article&id=846:simpson-grading-system-for-removal-of-meningeomas&catid=152:usefulinfo&Itemid=603 Accessed on September, 25th 2015</ref>
* Surgical resection procedures of meningioma include:<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref><ref name="R">Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25th 2015</ref><ref name="N">Simpson Grading System. Neurosurgic.com(2015) http://www.neurosurgic.com/index.php?option=com_content&view=article&id=846:simpson-grading-system-for-removal-of-meningeomas&catid=152:usefulinfo&Itemid=603 Accessed on September, 25th 2015</ref>
:* Complete meningioma resection, with excision of any involved bone, venous sinuses and dural attachments.
:* Complete meningioma resection, with excision of any involved bone, [[venous sinuses]] and dural attachments.
:* Complete meningioma resection and coagulation of dural attachment
:* Complete meningioma resection and [[coagulation]] of dural attachment
:* Partial meningioma resection sparing the dura
:* Partial meningioma resection sparing the [[dura]]
:* Subtotal meningioma resection
:* Subtotal meningioma resection
* The Simpson criteria for meningioma correlates the degree of surgical resection completeness with the probability of symptomatic tumor recurrence:<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref><ref name="R">Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25th 2015</ref><ref name="N">Simpson Grading System. Neurosurgic.com(2015) http://www.neurosurgic.com/index.php?option=com_content&view=article&id=846:simpson-grading-system-for-removal-of-meningeomas&catid=152:usefulinfo&Itemid=603 Accessed on September, 25th 2015</ref>
* The Simpson criteria for meningioma correlates the degree of [[surgical resection]] completeness with the probability of [[symptomatic]] [[tumor]] recurrence:<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref><ref name="R">Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25th 2015</ref><ref name="N">Simpson Grading System. Neurosurgic.com(2015) http://www.neurosurgic.com/index.php?option=com_content&view=article&id=846:simpson-grading-system-for-removal-of-meningeomas&catid=152:usefulinfo&Itemid=603 Accessed on September, 25th 2015</ref>


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* Surgical resection is not recommended among patients with asymptomatic stable meningioma.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref>
* Surgical resection is not recommended among patients with [[asymptomatic]] stable meningioma.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref>
* Surgical resection is not recommended among patients with advanced meningioma which invades the surrounding bone.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref>
* Surgical resection is not recommended among patients with advanced meningioma which invades the surrounding [[bone]].<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref>


==References==
==References==

Revision as of 19:47, 27 September 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: {HL}}

Overview

The predominant therapy for meningioma is surgical resection. Adjunctive radiation therapy may be required among certain patients.[1]

Surgery

  • The predominant therapy for meningioma is surgical resection. Adjunctive radiation therapy may be required among certain patients.[1]
  • Transarterial embolization has become a standard procedure in the preoperative management.[1]
  • Surgical resection procedures of meningioma include:[1][2][3]
  • Complete meningioma resection, with excision of any involved bone, venous sinuses and dural attachments.
  • Complete meningioma resection and coagulation of dural attachment
  • Partial meningioma resection sparing the dura
  • Subtotal meningioma resection
Simpson Grade Completeness of Resection 10-year Recurrence
Grade 1
Complete removal including resection of underlying bone and associated dura
9%
Grade 2
Complete removal and coagulation of dural attachment
19%
Grade 3
Complete removal without resection of dura or coagulation
29%
Grade 4
Subtotal resection
40%
  • Surgical resection is not recommended among patients with asymptomatic stable meningioma.[1]
  • Surgical resection is not recommended among patients with advanced meningioma which invades the surrounding bone.[1]

References

  1. ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015
  2. ↑ 2.0 2.1 Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25th 2015
  3. ↑ 3.0 3.1 Simpson Grading System. Neurosurgic.com(2015) http://www.neurosurgic.com/index.php?option=com_content&view=article&id=846:simpson-grading-system-for-removal-of-meningeomas&catid=152:usefulinfo&Itemid=603 Accessed on September, 25th 2015


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